Individual
JANUSZ LUKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7843 YOUREE DR, SHREVEPORT, LA 71105-5505
(318) 212-3937
(318) 212-3769
Mailing address
7843 YOUREE DR, SHREVEPORT, LA 71105-5505
(318) 212-3937
(318) 222-6414
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1385-425T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1385-425T
STATE LIC #
LA
05
—
1620416
—
LA
Enumeration date
03/03/2006
Last updated
03/07/2023
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